Introduction: In Central Europe, in Hungary, the state guarantees access to health care and basic health services partly through the Semmelweis Plan adopted in 2011. The primary objectives of the Semmelweis Plan include the optimisation and transformation of the health care system, starting with the integration of hospitals and the state control of previously municipally owned hospitals. The transformation of the health care system can have an impact on health services and thus on meeting the needs of the population. In addition to reducing health inequalities and costs, the relevant benefits include improving patients’ chances of recovery and increasing patient safety. The speciality under study is decubitus care. Our hypothesis is that integration will improve the chances of recovery for decubitus patients through access to smart dressings to promote patient safety. Objective: to investigate and demonstrate the effectiveness of integration in improving the chances of recovery for decubitus ulcer patients. Material and methods: The research compared two time periods in the municipality of Kalocsa, Bács-Kiskun County, Southern Hungary. We collected the number of decubitus patients arriving and leaving the hospital from the nursing records and compared the pre-integration period when decubitus patients were provided with conventional dressings (01.01.2006–2012.12.31) and the post-integration period, which entailed the introduction of smart dressings in decubitus care (01.01.2013–2012.12.31). The target population of the study was men and women aged 0–99 years who had developed some degree of decubitus. The sample size of the study was 4456. Independent samples t-test, Chow test and linear trend statistics were used to evaluate the results. Based on the empirical evidence, a SWOT analysis was conducted to further examine the effectiveness of integration. Results: The independent samples t-test model used was significant (for Phase I: t (166) = −16.872, p < 0.001; for Phase II: t (166) = −19.928, p < 0.001; for Phase III: t (166) = −19.928, p < 0.001; for Phase III: t (166) = −16.872, p < 0.001). For stage III: t (166) = −10.078, p < 0.001; for stage IV: t (166) = −10.078, p < 0.001; for stage III: t (166) = −10.078, p < 0.001). for stage III: t (166) = −14.066, p < 0.001). For the Chow test, the p-values were highly significant, indicating a structural break. Although the explanatory power of the regression models was variable (R-squared values ranged from 0.007 to 0.617), they generally supported the change in patient dynamics after integration. Both statistical analyses and SWOT analysis supported our hypothesis and showed that integration through access to smart dressings improves patients’ chances of recovery. Conclusions: Although only one segment of the evidence on the effectiveness of hospital integration was examined in this study, integration in the study area had a positive impact on the effective care of patients with decubitus ulcers, reduced inequalities in care and supported patient safety. In the context of the results obtained, these trends may reflect different systemic changes in patient management strategies in addition to efficient allocation of resources and quality of care.

The urban solid waste (USW) emanating from the increasing urbanisation calls for concern. Integrating cart pushers into the private sector participation (PSP) may bridge the lacuna in sub-urban planning and PSP truck inefficiencies, especially in developing countries. There is a paucity of studies concerning cart pushers’ role in sub-urban and issues hindering them from achieving Sustainable Development Goals (1 and 11) in developing countries. Thus, the study seeks to appraise cart pushers’ role in Nigeria’s sub- and urban areas, investigate their challenges, and propose measures to improve the achievement of the Goals by integrating them into PSP waste management systems. The researchers utilised a qualitative approach using face-to-face interviews and observation. The study covered seven of Nigeria’s major cities, including Lagos, Kano, and Abuja. Forty semi-structured interviews were conducted. The participants include selected waste managers, NGOs in waste-related matters, cart pushers, legislators, households, environment and housing experts, and solid waste government agencies/regulators. The researchers adopted a thematic approach to analyse the collected data and presented it in a theme pattern. Findings reveal that despite the significance of cart pushers to the three pillars of sustainable development, including stimulating support for potential employment creation and sustainable cities and communities in Nigeria, they face challenges in their daily operation. The study proposed a revised USWM policy, where the informal waste sector should be embraced and recognised with specific rules and regulations. This is germane to improve achieving SDGs 1 and 11. This study holds significant implications for USWM policymakers and other stakeholders in embracing and integrating cart pushers into the formal waste collection process supported by statutory regulations to enhance practice. Also, this concept will increase employment opportunities and improve achieving Goals 1 and 11 in Nigeria.

The application of governance in recent years appears as a tool of entities that organize sport. Considering this aspect, it was observed that many sports entities present problems in following mechanisms to improve management, both in national and international contexts. Governance materializes with principles of transparency, accountability, equity, institutional integrity, and modernity, in order to aid sports entities. Thus, the development of sports entities could improve management, professionalization, and innovation. Based on the aforementioned, this article aims to demonstrate whether the principles of governance found in the literature are contemplated in Brazilian sports confederations, pointing to the possibility of finding distinct characteristics among the confederations, and the confederation with the highest index for Brazilian sports. The methodology is a longitudinal discursive analysis. The results use data from 2015 to 2022 from the Sou do Esporte Governance Awards and the analysis is based on five governance principles; transparency, equity, accountability, institutional integrity, and modernity. The confederations were found to have adopted the principles of governance to improve, professionalize, and optimize their sports management. The results suggest that the use of governance can enhance the confederations and improve the management, legitimacy, and development of sports in Brazil. The authors consider the nuances reported in the study as imperative to improve the progress of Brazilian sports, and the contribution made could generate other discussions in different contexts and countries.

Under the concept of independent maintenance proposed by the Meteorology, Climatology, and Geophysics Agency (BMKG) for operational equipment, a thorough analysis of its management processes is necessary. Leadership involvement at various levels can affect maintenance outcomes, impacting sustainability. This research creates a thinking model that connects responsible leadership (RL) with sustainable performance (SP) through agile organization (AO) mediation and maintenance management implementation (MMI) in the management of leading operations equipment. The method used was a survey of 366 respondents who were BMKG employees, and explanatory analysis was analyzed based on descriptive statistical analysis using SmartPLS. The research results show that the third hypothesis proposed is acceptable, and the two mediator variables are partial mediation. The discussion of the study results shows some theoretical and practical implications for achieving the goals of SP, where organizations should encourage RL behavior that can implement current practices regarding AO and MMI. The test results show that AO and MMI have a significant role as mediators in encouraging the influence of RL on SP. This study is the first step in examining the relationship of RL to SP using AO and MMI mediation. Furthermore, this model can be developed and analyzed in other sectors or fields to increase knowledge.

Good health and well-being are embedded in the 3rd Goal amongst the UN Sustainable Development Goals. The primary objective of this research was to identify the most critical economic, social, and administrative barriers to implementing the Expanded Program on Immunization (EPI) in the Punjab Province of Pakistan. A sequential exploratory design and case study technique were used, employing both qualitative and quantitative methods. In the first stage, in-depth interviews with 50 key officials were conducted to identify the most critical barriers to the EPI program. A quantitative analysis was then performed based on the results obtained from qualitative analysis, and rank orders of barriers were received from the same health department experts. The results indicate that twenty-eight barriers can cause implementation problems for this program. Still, the ten barriers that gained the maximum hits are the most important barriers, which include Shortage of vaccinators, mismanagement of vaccines’ cold chain, biometric android application, ice-lined refrigerators, communication gap, inadequate legislation of EPI program, capacity building issues with EPI staff, Misconceptions about EPI program, lack of awareness of the parents and community, refusal cases and inadequate cooperation of lady health workers (LHWs). Coordinated efforts of the government and the public are highly recommended to address these barriers.

In Nigeria, deforestation has led to an unimaginable loss of genetic variation within tree populations. Regrettably, little is known about the genetic variation of many important indigenous timber species in Nigeria. More so, the specific tools to evaluate the genetic diversity of these timber species are scarce. Therefore, this study developed species-specific markers for Pterygota macrocarpa using state-of-the-art equipment. Leaf samples were collected from Akure Forest Reserve, Ondo State, Nigeria. DNA isolation, quantification, PCR amplification, gel electrophoresis, post-PCR purification, and sequencing were done following a standardized protocol. The melting temperatures (TM) of the DNA fragments range from 57.5 ℃to 60.1 ℃ for primers developed from the MatK gene and 58.7 ℃ to 60.5 ℃ for primers developed from the RuBisCo gene. The characteristics of the ten primers developed are within the range appropriate for genetic diversity assessment. These species-specific primers are therefore recommended for population evaluation of Pterygota macrocarpa in Nigeria.